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| ID | Type | Description | Link |
|---|---|---|---|
| DP2LM012339 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Library of Medicine (NLM) | NIH |
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In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Video game | Patients treated by physicians who were randomized to either play an adventure-based video game that used narrative engagement to recalibrate physician heuristics in trauma triage or a puzzle-based video game that used analogical encoding to recalibrate physician heuristics in trauma triage. |
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| Control | Patients treated by physicians who were randomized either to nothing at all or to a text-based educational program. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video games | Behavioral | See arm description |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of patients triaged to trauma centers | The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups. | 1 year following the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Number of moderate-severely injured patients who die 30-days after initial evaluation | Patient mortality 30-days after evaluation for a moderate-severe injury by a physician enrolled in the trial, compared among intervention and control groups. | 1 year following the intervention |
| Frequency of resources used for patients with moderate-severe injuries treated by participants |
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Inclusion Criteria:
Exclusion Criteria:
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Patients older than 65 who presented after a moderate-severe injury to a non-trauma center in the US during 2016-2018.
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| Name | Affiliation | Role |
|---|---|---|
| Deepika Mohan, MD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15213 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29233854 | Background | Mohan D, Farris C, Fischhoff B, Rosengart MR, Angus DC, Yealy DM, Wallace DJ, Barnato AE. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. BMJ. 2017 Dec 12;359:j5416. doi: 10.1136/bmj.j5416. | |
| 30150397 | Background | Mohan D, Fischhoff B, Angus DC, Rosengart MR, Wallace DJ, Yealy DM, Farris C, Chang CH, Kerti S, Barnato AE. Serious games may improve physician heuristics in trauma triage. Proc Natl Acad Sci U S A. 2018 Sep 11;115(37):9204-9209. doi: 10.1073/pnas.1805450115. Epub 2018 Aug 27. |
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De-identified data is available for sharing, conditional on approval by the University of Pittsburgh Office of Research and Institutional Review Board.
3 years
Contact the PI
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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Frequency of resources used (e.g. ICU admission, mechanical ventilation, disposition status) after initial presentation for a moderate-severe injury and treatment by a participating physician, compared among intervention and control groups. |
| 1 year following intervention |